基于演化博弈的远程医疗服务推进

发布时间：2018-09-07 21:05

【摘要】：围绕推进远程医疗服务进程中的中心医院、远端医院和患者三个主要影响主体,借助演化博弈理论,构建三方演化博弈模型,利用复制动态方程解出三维动力系统的均衡点及演化稳定策略,并进行数值仿真模拟,演示不同数值对远程医疗服务推进演化结果的影响。研究结果表明:成本大于收益的情形下,行为主体将阻碍远程医疗服务的推进;收益大于成本的情形下,中心医院、远端医院和患者群体的良性互动有利于推进远程医疗服务。增加中心医院和远端医院的收益、提高患者接受远程医疗服务的效用、加大政府对中心医院和远端医院的资金支持及奖励、提高医保报销比例、减少中心医院和远端医院提供远程医疗服务的运营成本以及控制患者投诉成本、医疗费用等有利于远程医疗服务的推进。
[Abstract]:According to the theory of evolutionary game, this paper constructs a three-way evolutionary game model around the central hospital, remote hospital and patient in the process of promoting telemedicine service. The equilibrium point and evolutionary stability strategy of 3D dynamic system are solved by replicating dynamic equation. Numerical simulation is carried out to demonstrate the influence of different numerical values on the evolution of telemedicine services. The results show that when the cost is greater than the income, the behavior body will hinder the promotion of telemedicine service, and the benign interaction among the central hospital, the remote hospital and the patient group will be beneficial to the promotion of telemedicine service if the income is greater than the cost. Increasing the benefits of central and remote hospitals, increasing the effectiveness of patients receiving telemedicine services, increasing the government's financial support and incentives for central and remote hospitals, and increasing the proportion of medical insurance reimbursement, Reducing the operating cost of providing telemedicine services in central and remote hospitals, and controlling the cost of patients' complaints, medical expenses and so on are conducive to the promotion of telemedicine services.
【作者单位】：南京医科大学医政学院;江苏大学管理学院;江苏大学财经学院;
【基金】：国家社会科学基金资助项目(12BGL110) 江苏省普通高校研究生科研创新计划项目(KYZZ 0296)
【分类号】：F224.32;R-05

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